Organization
DICKERSON ENTERPRISES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK J DICKERSON DMD (PRESIDENT)
(480) 218-6030
Entity
Organization
Contact information
Practice address
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203, MESA, AZ 85206-4373
(480) 218-6030
(480) 218-6057
Mailing address
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203, MESA, AZ 85206-4373
(480) 218-6030
(480) 218-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4940
AZ
Other
Enumeration date
03/09/2007
Last updated
03/17/2008
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